Organization
STAIRWAYS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS KIRKWOOD (CHIEF FINANCIAL OFFICER)
(814) 453-5806
Entity
Organization
Contact information
Practice address
16332 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3843
(814) 337-8762
(814) 337-4462
Mailing address
138 E 26TH ST, ERIE, PA 16504-1049
(814) 453-5806
(814) 453-4757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
405900
PA
101YP2500X
Professional Counselor
405900
PA
104100000X
Social Worker
405900
PA
1041C0700X
Clinical Social Worker
405900
PA
2084P0800X
Psychiatry Physician
40590
PA
261Q00000X
Clinic/Center
Primary
405900
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000063480024
—
PA
Enumeration date
03/29/2007
Last updated
05/23/2008
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